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ULTRASOUND/SONOGRAPHY

Abdominal ultrasonography | Thyroid ultrasonography | Echocardiography | Cerebral arteries | Arteries of the arm and leg | Veins of the arm and leg | PDF ultrasound

The following applies to all ultrasound procedures: They can be carried out quickly and at short notice, are inexpensive and are absolutely harmless due to the ultrasound waves used.

Abdomen sonography (ultrasound examination of the abdominal organs)

Abdominal sonography is used to visualise and assess internal organs of the abdomen such as the liver, gallbladder/gall ducts, pancreas, abdominal aorta, kidneys and spleen. For an optimal examination, you should be fasting for at least six hours. We therefore perform abdominal sonography in the morning if possible.

Thyroid sonography (ultrasound examination of the thyroid gland)

Another organ that can be well visualised and assessed with ultrasound waves is the thyroid gland. Thyroid sonography - together with the laboratory-chemical determination of thyroid hormones from a blood sample, which we also perform in our practice - is an important component in thyroid diagnostics. With the combination of ultrasound and blood tests, not only can many thyroid diseases be diagnosed, they can also be monitored in their course.

Echocardiography (ultrasound examination of the heart)

During the ultrasound examination of the heart, the heart muscle and the heart valves are imaged. This makes it possible to assess the strength of the heart muscle as well as the mobility and function of the heart valves. By means of the so-called "Doppler method", the blood flow in the area of the heart can be measured. This is particularly important in the case of valve defects. The resilience of the heart can also be assessed - especially in conjunction with an exercise ECG.

Technically, echocardiography works similarly to the ultrasound examination of the abdomen, but requires more complex computing power for imaging. Of course, the ultrasound waves used for echocardiography are also absolutely harmless. Today, echocardiography is an indispensable method in the diagnosis and monitoring of various heart diseases and is also used for the diagnostic differentiation of complex symptoms in internal medicine. You do not need to be fasting for this examination.

Colour-coded duplex sonography of the brain-supplying arteries (ultrasound examination of the neck vessels)

With colour-coded duplex sonography of the brain-supplying arteries (FKDS, ultrasound examination of the neck vessels), the vessels responsible for the arterial blood supply to the brain can be visualised directly (vessel structure) and functionally (blood flow). Changes that, if left untreated, increase the risk of stroke due to cerebral haemorrhage or occlusion of the vessels supplying the brain can be detected at an early stage and treated accordingly. For example, calcifications (plaques) in the area of these vessels increase the risk of strokes, which can lead to occlusions in the brain vessels due to blood clots from the deposits. In addition, the arteries supplying the brain give an indication of the other vessels in the body. If deposits are found in the area of the neck vessels, it must be assumed that the other important vessels (e.g. the coronary vessels) also show similar changes.

Colour-coded duplex sonography (ultrasound examination) of the arm and leg arteries

With colour-coded duplex sonography (FKDS, ultrasound examination), the vessels responsible for arterial blood flow in the arteries of the arms and legs can be visualised directly (vessel structure) and functionally (blood flow). Especially due to diseases such as diabetes, high blood pressure, lipometabolic disorders and smoking, deposits can form in the vessels, which can narrow or completely block them. These resulting circulatory disorders often affect the legs. A reduced blood supply with oxygen can then lead to pain in the legs and feet (shop window disease, pAVK). These vascular changes can be easily detected by ultrasound examination and are primarily the most important examination for planning further treatment.

Colour-coded duplex sonography (ultrasound examination) of the arm and leg veins

Colour-coded duplex sonography can provide images of the deep and superficial veins and the surrounding structures. Furthermore, the flow properties of the blood in the veins can be assessed in the same examination.

The field of application includes above all the exclusion of venous thrombosis (occlusion of the vein by a blood clot), which can lead to dangerous complications if treatment is not carried out. A pulmonary embolism, for example, can be caused by a blood clot being carried away.

Furthermore, ultrasound examination of the veins is an important examination method in varicose vein diagnostics to detect dilated vein strands with insufficient (no longer functioning) venous valves. Venous valves allow blood to flow through the veins back to the heart by preventing backflow, e.g. into the legs. If the valves are destroyed, this leads to blood stasis (swollen legs) which, if not treated, can lead to complications such as leg ulcers which are difficult to treat.

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